Referral Specialist - Internal Medicine

Orlando Health•Zephyrhills, FL

22h•Onsite

About The Position

The Referral Specialist is the initial contact for each new patient within the Internal Medicine department at Florida Medical Clinic. This role is crucial for ensuring new patients are properly registered, their insurance is authorized for services and hospital admissions, and all financial and insurance information is verified and updated in the billing systems. The specialist initiates the referral and authorization process for all services and visits, working closely with nursing, medical staff, and the scheduling department to facilitate optimal patient care and ensure insurance requirements are met for appointments. They also coordinate with other departments and provide patients with necessary referral information for other physicians and facilities. Effective communication with all internal and external customers, including PCPs, patients, and clinical departments, is essential to obtain required authorizations. The role requires reasonably regular and punctual attendance and compliance with all Orlando Health policies and procedures. Additionally, the specialist assumes responsibility for their own professional development and education.

Requirements

High school graduate or equivalent education.
One (1) year of retail, customer service or health care experience.

Responsibilities

Completes registration and obtains insurance authorization for new patients, diagnostic testing and for hospital admissions.
Ensures financial information and insurance has been verified.
Updates patient insurance information in billing systems as needed.
Initiates the referral and authorization process for all services and visits.
Works closely with nursing and medical staff to facilitate optimal patient care.
Communicates with the scheduling department to verify each patient’s insurance requirements have been satisfied for upcoming appointments.
Coordinates with other departments as needed to facilitate patient’s visit.
Provides patient with referral information for other physicians and facilities.
Communicates effectively with all internal and external customers – PCP, Patient, clinical departments, etc. in order to obtain the required authorization needed for each service.
Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards.
Maintains compliance with all Orlando Health policies and procedures.
Assumes responsibility for professional development and education.